腹腔镜肝叶切除25例报道  

Clinical Experience of Laparoscopic Hepatectomy(Report of 25 Cases)

作　　者：黄建钊[1] 石承先[1] 苟欣[1] 张毅[1] 汤可立[1] 刘隽[1] 余鹏[1] 柳严[1] 田利[1] 

机构地区：[1]贵州省人民医院肝胆外科,贵州贵阳550002

出　　处：《中国普外基础与临床杂志》2011年第3期324-326,共3页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的探讨腹腔镜肝叶切除术的安全性与可行性。方法对25例肝血管瘤、肝癌等患者行腹腔镜规则性肝叶切除术,并对围手术期结果进行分析。结果 25例患者中除1例因术中肝中静脉破裂发生大出血而中转开腹外,其余均完成了全腹腔镜下肝叶或肝段切除。术中出血量100-1 200 ml,平均400 ml;11例患者术中未输血,14例患者输血200-1 000 ml,平均400 ml。手术时间0.8-4.0 h,平均2.3 h。全部患者无一例发生胆汁漏、感染等并发症,均于术后5-10 d（平均8 d）出院。结论腹腔镜肝叶切除是安全、可行的,对肿瘤直径超过9 cm且有大血管受侵犯的肝癌患者应慎重。Objective To evaluate the safety and feasibility of laparoscopic hepatectomy.Methods A total of 25 patients with hepatocellular carcinoma or liver hemangioma received laparoscopic hepatectomy,and perioperative results were analyzed.Results Only one patient was converted to open hepatectomy because of massive hemorrhage.Blood loss of all patients during operation ranged from 100-1 200 ml with an average of 400 ml.The total blood volume of transfusion was 200-1 000 ml（mean 400 ml） in 14 patients.The operative time was 0.8-4.0 h（mean 2.3 h）.All patients had no complications such as bile leakage and infection,and discharged from hospital in 5-10 d（mean 8 d） after operation.Conclusion Laparoscopic hepatectomy is safe and feasible to some liver diseases,but should be used with caution for the patients with tumor diameter over 9 cm and hepatic large vessels invaded by cancer.

关 键 词：腹腔镜 肝切除 肝癌 肝血管瘤 

分 类 号：R657.3[医药卫生—外科学]